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1. What is your full name?

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2. What do you wish to gain from participating in the Erotic Aliveness container?

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3. Are you comfortable being on zoom calls with other women and being vulnerable with your truth? Are you comfortable with movement and dancing? (All zoom calls will be private and secured with Rotana, and will be deleted upon the closing of the course)

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4. Are you able to commit to one  2-hour zoom call per week? 
(Please note: If accepted I will be reaching out to each participant and will do my best to find a time that works for everybody.)

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5. Do you have a private room/space to play music and move uninterrupted during weekly Zoom calls?

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6. Do you agree to keep all zoom calls and participant names and experiences confidential?
(Please note: To protect all participants in this course, if anyone shares another participant's name/experience, or records any of our Zoom calls, then I will be forced to announce this breach of confidentiality on all social platforms. I want us to let loose and be free/safe :) )

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7. What previous events or online courses, if any, have you attended that explored the topics of healing, sexuality, breath-work, spirituality, and/or meditation?

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8. What forms of personal growth work have you undertaken in your life?(therapy, seminars, yogic training, meditation practice etc.)

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9. Please share any recent major life events: deaths, break ups, trauma, business/career changes, or other emotional transitions. If you are not sure whether or not to include something, I ask that you share it here as this type of information helps me to hold a better container. (Please note: This info will be held confidential unless you decide to share it in the container.)

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10. What Country & City will you be participating from? (For time zone / scheduling purposes)

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11. Please enter your email address:

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12. Please enter your phone number (with international area code):

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